Isometric tenodesis of the iliotibial band is effective in alleviating functional instability due to anterior cruciate ligament (ACL) insufficiency in properly selected patients. A modification of Andrew's “minireconstruction” using a four-pronged table fixation staple is described. The procedure is simple, quick, and provides tissue fixation without necrosis or the need for a medial incision. There have been no hardware failures or staple migrations. The high percentage of good-to-excellent results at follow-up warrant continued use of this lateral extraarticular stablization procedure for ACL insufficiency.